Provider Demographics
NPI:1588606594
Name:SCHAAL, TERESA LYNNE (DC)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:LYNNE
Last Name:SCHAAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 S CLAY ST
Mailing Address - Street 2:SUITE 229E
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3257
Mailing Address - Country:US
Mailing Address - Phone:630-654-9680
Mailing Address - Fax:630-654-9840
Practice Address - Street 1:40 S CLAY ST
Practice Address - Street 2:SUITE 229E
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3257
Practice Address - Country:US
Practice Address - Phone:630-654-9680
Practice Address - Fax:630-654-9840
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL394870Medicare ID - Type UnspecifiedPROVIDER NUMBER
ILU62900Medicare UPIN